Progressive resistance training and stretching following surgery for breast cancer: study protocol for a randomised controlled trial
Identifieur interne : 007879 ( Main/Exploration ); précédent : 007878; suivant : 007880Progressive resistance training and stretching following surgery for breast cancer: study protocol for a randomised controlled trial
Auteurs : Sharon L. Kilbreath [Australie] ; Kathryn M. Refshauge [Australie] ; Jane M. Beith [Australie] ; Leigh C. Ward [Australie] ; Judy M. Simpson [Australie] ; Ross D. Hansen [Australie]Source :
- BMC Cancer [ 1471-2407 ] ; 2006.
Descripteurs français
- KwdFr :
- Amplitude articulaire, Bras (physiologie), Exercices d'étirement musculaire, Femelle, Force musculaire (physiologie), Humains, Lymphoedème (), Lymphoedème (étiologie), Méthode en simple aveugle, Qualité de vie, Soins postopératoires, Traitement par les exercices physiques, Tumeurs du sein (), Tumeurs du sein (rééducation et réadaptation), Épaule (physiologie).
- MESH :
- physiologie : Bras, Force musculaire, Épaule.
- rééducation et réadaptation : Tumeurs du sein.
- étiologie : Lymphoedème.
- Amplitude articulaire, Exercices d'étirement musculaire, Femelle, Humains, Lymphoedème, Méthode en simple aveugle, Qualité de vie, Soins postopératoires, Traitement par les exercices physiques, Tumeurs du sein.
English descriptors
- KwdEn :
- Arm (physiology), Breast Neoplasms (rehabilitation), Breast Neoplasms (surgery), Exercise Therapy, Female, Humans, Lymphedema (etiology), Lymphedema (prevention & control), Muscle Strength (physiology), Muscle Stretching Exercises, Postoperative Care, Quality of Life, Range of Motion, Articular, Shoulder (physiology), Single-Blind Method.
- MESH :
- etiology : Lymphedema.
- physiology : Arm, Muscle Strength, Shoulder.
- prevention & control : Lymphedema.
- rehabilitation : Breast Neoplasms.
- surgery : Breast Neoplasms.
- Exercise Therapy, Female, Humans, Muscle Stretching Exercises, Postoperative Care, Quality of Life, Range of Motion, Articular, Single-Blind Method.
Abstract
Currently 1 in 11 women over the age of 60 in Australia are diagnosed with breast cancer. Following treatment, most breast cancer patients are left with shoulder and arm impairments which can impact significantly on quality of life and interfere substantially with activities of daily living. The primary aim of the proposed study is to determine whether upper limb impairments can be prevented by undertaking an exercise program of prolonged stretching and resistance training, commencing soon after surgery.
We will recruit 180 women who have had surgery for early stage breast cancer to a multicenter single-blind randomized controlled trial. At 4 weeks post surgery, women will be randomly assigned to either an exercise group or a usual care (control) group. Women allocated to the exercise group will perform exercises daily, and will be supervised once a week for 8 weeks. At the end of the 8 weeks, women will be given a home-based training program to continue indefinitely. Women in the usual care group will receive the same care as is now typically provided, i.e. a visit by the physiotherapist and occupational therapist while an inpatient, and receipt of pamphlets. All subjects will be assessed at baseline, 8 weeks, and 6 months later. The primary measure is arm symptoms, derived from a breast cancer specific questionnaire (BR23). In addition, range of motion, strength, swelling, pain and quality of life will be assessed.
This study will determine whether exercise commencing soon after surgery can prevent secondary problems associated with treatment of breast cancer, and will thus provide the basis for successful rehabilitation and reduction in ongoing problems and health care use. Additionally, it will identify whether strengthening exercises reduce the incidence of arm swelling.
The protocol for this study is registered with the Australian Clinical Trials Registry (ACTRN012606000050550).
Url:
DOI: 10.1186/1471-2407-6-273
PubMed: 17140447
PubMed Central: 1693923
Affiliations:
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Kilbreath</name><affiliation wicri:level="3"><nlm:aff id="I1">Faculty of Health Sciences, University of Sydney, Sydney, Australia</nlm:aff><country xml:lang="fr">Australie</country><wicri:regionArea>Faculty of Health Sciences, University of Sydney, Sydney</wicri:regionArea><placeName><settlement type="city">Sydney</settlement><region type="état">Nouvelle-Galles du Sud</region></placeName></affiliation></author><author><name sortKey="Refshauge, Kathryn M" sort="Refshauge, Kathryn M" uniqKey="Refshauge K" first="Kathryn M" last="Refshauge">Kathryn M. Refshauge</name><affiliation wicri:level="3"><nlm:aff id="I1">Faculty of Health Sciences, University of Sydney, Sydney, Australia</nlm:aff><country xml:lang="fr">Australie</country><wicri:regionArea>Faculty of Health Sciences, University of Sydney, Sydney</wicri:regionArea><placeName><settlement type="city">Sydney</settlement><region type="état">Nouvelle-Galles du Sud</region></placeName></affiliation></author><author><name sortKey="Beith, Jane M" sort="Beith, Jane M" uniqKey="Beith J" first="Jane M" last="Beith">Jane M. 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Ward</name><affiliation wicri:level="1"><nlm:aff id="I3">School of Molecular and Microbial Sciences, University of Queensland, Brisbane, Australia</nlm:aff><country xml:lang="fr">Australie</country><wicri:regionArea>School of Molecular and Microbial Sciences, University of Queensland, Brisbane</wicri:regionArea><wicri:noRegion>Brisbane</wicri:noRegion></affiliation></author><author><name sortKey="Simpson, Judy M" sort="Simpson, Judy M" uniqKey="Simpson J" first="Judy M" last="Simpson">Judy M. Simpson</name><affiliation wicri:level="3"><nlm:aff id="I4">School of Public Health, University of Sydney, Sydney, Australia</nlm:aff><country xml:lang="fr">Australie</country><wicri:regionArea>School of Public Health, University of Sydney, Sydney</wicri:regionArea><placeName><settlement type="city">Sydney</settlement><region type="état">Nouvelle-Galles du Sud</region></placeName></affiliation></author><author><name sortKey="Hansen, Ross D" sort="Hansen, Ross D" uniqKey="Hansen R" first="Ross D" last="Hansen">Ross D. Hansen</name><affiliation wicri:level="3"><nlm:aff id="I5">Gastrointestinal Investigation Unit, Royal North Shore Hospital, Sydney, Australia</nlm:aff><country xml:lang="fr">Australie</country><wicri:regionArea>Gastrointestinal Investigation Unit, Royal North Shore Hospital, Sydney</wicri:regionArea><placeName><settlement type="city">Sydney</settlement><region type="état">Nouvelle-Galles du Sud</region></placeName></affiliation></author></analytic><series><title level="j">BMC Cancer</title><idno type="eISSN">1471-2407</idno><imprint><date when="2006">2006</date></imprint></series></biblStruct></sourceDesc></fileDesc><profileDesc><textClass><keywords scheme="KwdEn" xml:lang="en"><term>Arm (physiology)</term><term>Breast Neoplasms (rehabilitation)</term><term>Breast Neoplasms (surgery)</term><term>Exercise Therapy</term><term>Female</term><term>Humans</term><term>Lymphedema (etiology)</term><term>Lymphedema (prevention & control)</term><term>Muscle Strength (physiology)</term><term>Muscle Stretching Exercises</term><term>Postoperative Care</term><term>Quality of Life</term><term>Range of Motion, Articular</term><term>Shoulder (physiology)</term><term>Single-Blind Method</term></keywords><keywords scheme="KwdFr" xml:lang="fr"><term>Amplitude articulaire</term><term>Bras (physiologie)</term><term>Exercices d'étirement musculaire</term><term>Femelle</term><term>Force musculaire (physiologie)</term><term>Humains</term><term>Lymphoedème ()</term><term>Lymphoedème (étiologie)</term><term>Méthode en simple aveugle</term><term>Qualité de vie</term><term>Soins postopératoires</term><term>Traitement par les exercices physiques</term><term>Tumeurs du sein ()</term><term>Tumeurs du sein (rééducation et réadaptation)</term><term>Épaule (physiologie)</term></keywords><keywords scheme="MESH" qualifier="etiology" xml:lang="en"><term>Lymphedema</term></keywords><keywords scheme="MESH" qualifier="physiologie" xml:lang="fr"><term>Bras</term><term>Force musculaire</term><term>Épaule</term></keywords><keywords scheme="MESH" qualifier="physiology" xml:lang="en"><term>Arm</term><term>Muscle Strength</term><term>Shoulder</term></keywords><keywords scheme="MESH" qualifier="prevention & control" xml:lang="en"><term>Lymphedema</term></keywords><keywords scheme="MESH" qualifier="rehabilitation" xml:lang="en"><term>Breast Neoplasms</term></keywords><keywords scheme="MESH" qualifier="rééducation et réadaptation" xml:lang="fr"><term>Tumeurs du sein</term></keywords><keywords scheme="MESH" qualifier="surgery" xml:lang="en"><term>Breast Neoplasms</term></keywords><keywords scheme="MESH" qualifier="étiologie" xml:lang="fr"><term>Lymphoedème</term></keywords><keywords scheme="MESH" xml:lang="en"><term>Exercise Therapy</term><term>Female</term><term>Humans</term><term>Muscle Stretching Exercises</term><term>Postoperative Care</term><term>Quality of Life</term><term>Range of Motion, Articular</term><term>Single-Blind Method</term></keywords><keywords scheme="MESH" xml:lang="fr"><term>Amplitude articulaire</term><term>Exercices d'étirement musculaire</term><term>Femelle</term><term>Humains</term><term>Lymphoedème</term><term>Méthode en simple aveugle</term><term>Qualité de vie</term><term>Soins postopératoires</term><term>Traitement par les exercices physiques</term><term>Tumeurs du sein</term></keywords></textClass></profileDesc></teiHeader><front><div type="abstract" xml:lang="en"><sec><title>Background</title><p>Currently 1 in 11 women over the age of 60 in Australia are diagnosed with breast cancer. Following treatment, most breast cancer patients are left with shoulder and arm impairments which can impact significantly on quality of life and interfere substantially with activities of daily living. The primary aim of the proposed study is to determine whether upper limb impairments can be prevented by undertaking an exercise program of prolonged stretching and resistance training, commencing soon after surgery.</p></sec><sec><title>Methods/design</title><p>We will recruit 180 women who have had surgery for early stage breast cancer to a multicenter single-blind randomized controlled trial. At 4 weeks post surgery, women will be randomly assigned to either an exercise group or a usual care (control) group. Women allocated to the exercise group will perform exercises daily, and will be supervised once a week for 8 weeks. At the end of the 8 weeks, women will be given a home-based training program to continue indefinitely. Women in the usual care group will receive the same care as is now typically provided, i.e. a visit by the physiotherapist and occupational therapist while an inpatient, and receipt of pamphlets. All subjects will be assessed at baseline, 8 weeks, and 6 months later. The primary measure is arm symptoms, derived from a breast cancer specific questionnaire (BR23). In addition, range of motion, strength, swelling, pain and quality of life will be assessed.</p></sec><sec><title>Discussion</title><p>This study will determine whether exercise commencing soon after surgery can prevent secondary problems associated with treatment of breast cancer, and will thus provide the basis for successful rehabilitation and reduction in ongoing problems and health care use. Additionally, it will identify whether strengthening exercises reduce the incidence of arm swelling.</p></sec><sec><title>Trial Registration</title><p>The protocol for this study is registered with the Australian Clinical Trials Registry (ACTRN012606000050550).</p></sec></div></front><back><div1 type="bibliography"><listBibl><biblStruct></biblStruct><biblStruct></biblStruct><biblStruct></biblStruct><biblStruct></biblStruct><biblStruct></biblStruct><biblStruct></biblStruct><biblStruct></biblStruct><biblStruct></biblStruct><biblStruct></biblStruct><biblStruct></biblStruct><biblStruct></biblStruct><biblStruct></biblStruct><biblStruct></biblStruct><biblStruct></biblStruct><biblStruct></biblStruct><biblStruct></biblStruct><biblStruct></biblStruct><biblStruct></biblStruct><biblStruct></biblStruct><biblStruct></biblStruct><biblStruct></biblStruct><biblStruct></biblStruct><biblStruct></biblStruct><biblStruct></biblStruct><biblStruct></biblStruct></listBibl></div1></back></TEI><affiliations><list><country><li>Australie</li></country><region><li>Nouvelle-Galles du Sud</li></region><settlement><li>Sydney</li></settlement></list><tree><country name="Australie"><region name="Nouvelle-Galles du Sud"><name sortKey="Kilbreath, Sharon L" sort="Kilbreath, Sharon L" uniqKey="Kilbreath S" first="Sharon L" last="Kilbreath">Sharon L. Kilbreath</name></region><name sortKey="Beith, Jane M" sort="Beith, Jane M" uniqKey="Beith J" first="Jane M" last="Beith">Jane M. Beith</name><name sortKey="Hansen, Ross D" sort="Hansen, Ross D" uniqKey="Hansen R" first="Ross D" last="Hansen">Ross D. Hansen</name><name sortKey="Refshauge, Kathryn M" sort="Refshauge, Kathryn M" uniqKey="Refshauge K" first="Kathryn M" last="Refshauge">Kathryn M. Refshauge</name><name sortKey="Simpson, Judy M" sort="Simpson, Judy M" uniqKey="Simpson J" first="Judy M" last="Simpson">Judy M. Simpson</name><name sortKey="Ward, Leigh C" sort="Ward, Leigh C" uniqKey="Ward L" first="Leigh C" last="Ward">Leigh C. Ward</name></country></tree></affiliations></record>Pour manipuler ce document sous Unix (Dilib)
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